Individual
DR. TREVOR GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2133 13TH ST, BOULDER, CO 80302-4801
(415) 505-0692
Mailing address
2133 13TH ST, BOULDER, CO 80302-4801
(415) 505-0692
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 21320
CA
Other
Enumeration date
12/06/2006
Last updated
12/05/2008
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